CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Unitypoint Health - Meriter

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $182
Cash Discount Price: $2,983
vs. Medicare Baseline: 1.02x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Unitypoint Health - Meriter is $182. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,983. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.02x the Medicare baseline. Located in 202 S Park St, Madison, WI.

Cash / Self-Pay

$2,983

Average discount available for prompt cash payment at this facility.

Insurance Median

$182

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)

Cash / Self-Pay: $2,983 (1665%)

Insurance Median: $182 (102%)

Cash: $2,983 (1665% of Medicare)

Ins. Median: $182 (102% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aspirus	$50 - $2,237	28%
Blue Cross Blue Shield	$50 - $3,542	28%
Illinicare	$50 - $172	28%
Prevea 360	$50 - $3,169	28%
UnitedHealthcare	$50 - $1,540	28%
Humana	$52 - $172	29%
Meridiancare	$52 - $172	29%
Health Partners Open Network	$110 - $1,361	61%
Wellmark Uph Self-Funded	$118 - $2,152	66%
Medical Associates Health Plan	$165 - $1,342	92%
Cigna	$1,119	624%
Security Health Plan	$1,156	645%
Quartz	$1,163	649%
Mercy Care	$1,238	691%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,983.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Unitypoint Health - Meriter is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.